Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism
Purpose To evaluate the effect of toric intraocular lens (IOL) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism. Methods We included children between the age group of 8–14 years who were randomized into group I (toric) and group II (non‐toric), in...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2017-03, Vol.95 (2), p.e95-e100 |
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| creator | Ram, Jagat Singh, Rishiraj Gupta, Rohit Bhutani, Garvit Gupta, Parul Chawla Sukhija, Jaspreet |
| description | Purpose
To evaluate the effect of toric intraocular lens (IOL) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism.
Methods
We included children between the age group of 8–14 years who were randomized into group I (toric) and group II (non‐toric), in which toric and spherical IOLs were implanted, respectively, after phacoaspiration. Primary outcome measure was comparison of preoperative keratometric and postoperative refractive cylinder. Secondary outcome measure was comparison of pre‐ and postoperative visual outcome.
Results
This study included 21 eyes of 17 children with developmental cataract. The mean spherical power of the toric IOLs implanted in the group I was 22.42 ± 4.84 D (range 12.50–29.00 D) and the mean cylindrical power of toric IOL was 3.37 ± 1.43 D (range 1.50–6.00D). The mean spherical power implanted in non‐toric (group II) was 20.70 ± 7.09 D (range 10–31D). Mean preoperative keratometric cylinder in group I was 2.99 ± 0.96 D (range 1.85–5.12 D) and in group II it was 3.35 ± 0.63 D (range 2.03D–4.33 D) (p = 0.31) while the mean refractive cylinder at one year postoperatively in group I was 0.50 ± 0.39 D (range 0.00–1.00 D) and in group II it was 2.05 ± 0.39 D (range 1.25D–2.50 D; p = 0.006). Twelve months postoperatively, group I had a mean spherical equivalent (SE) 0.41 ± 0.26 D (range 0.00–0.88 D) and group II had 1.8 ± 1.03 D (range 0.63–4.00 D) (p = 0.002). Uncorrected distance visual acuity (UDVA) improved from 0.94 log MAR ± 0.51 (range 0.60–2.00) to 0.43 log MAR ± 0.33 (range 0.00–1.00) in the group I at the end of 1 year and in group II, it improved from 1.52 log MAR ± 1.12 to 0.75 log MAR ± 0.70 (range 0.00–2.00) at the end of 1 year. Corrected distant visual acuity (CDVA) improved in group I from 0.72 log MAR ± 0.17 (range 0.48–1.00) to 0.19 log MAR ± 0.26 (range 0.00‐ 0.78) at the end of one year while in group II, it improved from 1.33 ± 1.08 (range 0.18–3.00) to 0.49 log MAR ± 0.80 (range 0.00–2.00) at the end of 1 year.
Conclusions
Toric IOL implantation in children significantly reduces postoperative astigmatism and thereby improves visual outcome. |
| doi_str_mv | 10.1111/aos.13220 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1872834808</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1859719995</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4210-1549c061c55a781a7d81663ad0e23a2bb54fd7236d16a130e4ee31b52df5ba523</originalsourceid><addsrcrecordid>eNqNkU1LHTEUhoO01K8u_AMl0E1dXM3HZJJZirRVEFzUgrvhTHKuRjLJNJnR-u8bveqiUGg2ySEPzzmHl5ADzo54PceQyhGXQrAtssO1UiupW_Pu7a2ut8luKXeMtbxtmw9kW2ilpTF8h6SrlL2lPs4Zkl0CZBowFurHKUCcYfYp1l9qb31wGSN98PMtdXiPIU0jViJQCzNksDOF6OiUEX_7Mvt4Q23KESsAtbwZq6uM--T9GkLBjy_3Hvn57evV6dnq4vL7-enJxco2grMVV01n67hWKdCGg3amji7BMRQSxDCoZu20kK3jLXDJsEGUfFDCrdUASsg98mXjnXL6tWCZ-9EXi6EuhWkpPTdaGNkYZv4DVZ3mXdepin7-C71LS451kUq1plFGmqfehxvK5lRKxnU_ZT9Cfuw5658C62tg_XNglf30YlyGEd0b-ZpQBY43wIMP-PhvU39y-WOj_APhC6BI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1868458382</pqid></control><display><type>article</type><title>Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism</title><source>MEDLINE</source><source>Wiley Journals</source><source>Wiley Free Content</source><creator>Ram, Jagat ; Singh, Rishiraj ; Gupta, Rohit ; Bhutani, Garvit ; Gupta, Parul Chawla ; Sukhija, Jaspreet</creator><creatorcontrib>Ram, Jagat ; Singh, Rishiraj ; Gupta, Rohit ; Bhutani, Garvit ; Gupta, Parul Chawla ; Sukhija, Jaspreet</creatorcontrib><description>Purpose
To evaluate the effect of toric intraocular lens (IOL) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism.
Methods
We included children between the age group of 8–14 years who were randomized into group I (toric) and group II (non‐toric), in which toric and spherical IOLs were implanted, respectively, after phacoaspiration. Primary outcome measure was comparison of preoperative keratometric and postoperative refractive cylinder. Secondary outcome measure was comparison of pre‐ and postoperative visual outcome.
Results
This study included 21 eyes of 17 children with developmental cataract. The mean spherical power of the toric IOLs implanted in the group I was 22.42 ± 4.84 D (range 12.50–29.00 D) and the mean cylindrical power of toric IOL was 3.37 ± 1.43 D (range 1.50–6.00D). The mean spherical power implanted in non‐toric (group II) was 20.70 ± 7.09 D (range 10–31D). Mean preoperative keratometric cylinder in group I was 2.99 ± 0.96 D (range 1.85–5.12 D) and in group II it was 3.35 ± 0.63 D (range 2.03D–4.33 D) (p = 0.31) while the mean refractive cylinder at one year postoperatively in group I was 0.50 ± 0.39 D (range 0.00–1.00 D) and in group II it was 2.05 ± 0.39 D (range 1.25D–2.50 D; p = 0.006). Twelve months postoperatively, group I had a mean spherical equivalent (SE) 0.41 ± 0.26 D (range 0.00–0.88 D) and group II had 1.8 ± 1.03 D (range 0.63–4.00 D) (p = 0.002). Uncorrected distance visual acuity (UDVA) improved from 0.94 log MAR ± 0.51 (range 0.60–2.00) to 0.43 log MAR ± 0.33 (range 0.00–1.00) in the group I at the end of 1 year and in group II, it improved from 1.52 log MAR ± 1.12 to 0.75 log MAR ± 0.70 (range 0.00–2.00) at the end of 1 year. Corrected distant visual acuity (CDVA) improved in group I from 0.72 log MAR ± 0.17 (range 0.48–1.00) to 0.19 log MAR ± 0.26 (range 0.00‐ 0.78) at the end of one year while in group II, it improved from 1.33 ± 1.08 (range 0.18–3.00) to 0.49 log MAR ± 0.80 (range 0.00–2.00) at the end of 1 year.
Conclusions
Toric IOL implantation in children significantly reduces postoperative astigmatism and thereby improves visual outcome.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.13220</identifier><identifier>PMID: 27573881</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; astigmatism ; Astigmatism - complications ; Cataract - complications ; Cataract - diagnosis ; cataract surgery ; Child ; Female ; Follow-Up Studies ; Humans ; Lenses, Intraocular ; Male ; Ophthalmology ; paediatric cataract ; Prospective Studies ; Prosthesis Design ; Refraction, Ocular - physiology ; toric intraocular lens ; Treatment Outcome ; Visual Acuity - physiology</subject><ispartof>Acta ophthalmologica (Oxford, England), 2017-03, Vol.95 (2), p.e95-e100</ispartof><rights>2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 Acta Ophthalmologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4210-1549c061c55a781a7d81663ad0e23a2bb54fd7236d16a130e4ee31b52df5ba523</citedby><cites>FETCH-LOGICAL-c4210-1549c061c55a781a7d81663ad0e23a2bb54fd7236d16a130e4ee31b52df5ba523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faos.13220$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faos.13220$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27573881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ram, Jagat</creatorcontrib><creatorcontrib>Singh, Rishiraj</creatorcontrib><creatorcontrib>Gupta, Rohit</creatorcontrib><creatorcontrib>Bhutani, Garvit</creatorcontrib><creatorcontrib>Gupta, Parul Chawla</creatorcontrib><creatorcontrib>Sukhija, Jaspreet</creatorcontrib><title>Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>Purpose
To evaluate the effect of toric intraocular lens (IOL) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism.
Methods
We included children between the age group of 8–14 years who were randomized into group I (toric) and group II (non‐toric), in which toric and spherical IOLs were implanted, respectively, after phacoaspiration. Primary outcome measure was comparison of preoperative keratometric and postoperative refractive cylinder. Secondary outcome measure was comparison of pre‐ and postoperative visual outcome.
Results
This study included 21 eyes of 17 children with developmental cataract. The mean spherical power of the toric IOLs implanted in the group I was 22.42 ± 4.84 D (range 12.50–29.00 D) and the mean cylindrical power of toric IOL was 3.37 ± 1.43 D (range 1.50–6.00D). The mean spherical power implanted in non‐toric (group II) was 20.70 ± 7.09 D (range 10–31D). Mean preoperative keratometric cylinder in group I was 2.99 ± 0.96 D (range 1.85–5.12 D) and in group II it was 3.35 ± 0.63 D (range 2.03D–4.33 D) (p = 0.31) while the mean refractive cylinder at one year postoperatively in group I was 0.50 ± 0.39 D (range 0.00–1.00 D) and in group II it was 2.05 ± 0.39 D (range 1.25D–2.50 D; p = 0.006). Twelve months postoperatively, group I had a mean spherical equivalent (SE) 0.41 ± 0.26 D (range 0.00–0.88 D) and group II had 1.8 ± 1.03 D (range 0.63–4.00 D) (p = 0.002). Uncorrected distance visual acuity (UDVA) improved from 0.94 log MAR ± 0.51 (range 0.60–2.00) to 0.43 log MAR ± 0.33 (range 0.00–1.00) in the group I at the end of 1 year and in group II, it improved from 1.52 log MAR ± 1.12 to 0.75 log MAR ± 0.70 (range 0.00–2.00) at the end of 1 year. Corrected distant visual acuity (CDVA) improved in group I from 0.72 log MAR ± 0.17 (range 0.48–1.00) to 0.19 log MAR ± 0.26 (range 0.00‐ 0.78) at the end of one year while in group II, it improved from 1.33 ± 1.08 (range 0.18–3.00) to 0.49 log MAR ± 0.80 (range 0.00–2.00) at the end of 1 year.
Conclusions
Toric IOL implantation in children significantly reduces postoperative astigmatism and thereby improves visual outcome.</description><subject>Adolescent</subject><subject>astigmatism</subject><subject>Astigmatism - complications</subject><subject>Cataract - complications</subject><subject>Cataract - diagnosis</subject><subject>cataract surgery</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lenses, Intraocular</subject><subject>Male</subject><subject>Ophthalmology</subject><subject>paediatric cataract</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Refraction, Ocular - physiology</subject><subject>toric intraocular lens</subject><subject>Treatment Outcome</subject><subject>Visual Acuity - physiology</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1LHTEUhoO01K8u_AMl0E1dXM3HZJJZirRVEFzUgrvhTHKuRjLJNJnR-u8bveqiUGg2ySEPzzmHl5ADzo54PceQyhGXQrAtssO1UiupW_Pu7a2ut8luKXeMtbxtmw9kW2ilpTF8h6SrlL2lPs4Zkl0CZBowFurHKUCcYfYp1l9qb31wGSN98PMtdXiPIU0jViJQCzNksDOF6OiUEX_7Mvt4Q23KESsAtbwZq6uM--T9GkLBjy_3Hvn57evV6dnq4vL7-enJxco2grMVV01n67hWKdCGg3amji7BMRQSxDCoZu20kK3jLXDJsEGUfFDCrdUASsg98mXjnXL6tWCZ-9EXi6EuhWkpPTdaGNkYZv4DVZ3mXdepin7-C71LS451kUq1plFGmqfehxvK5lRKxnU_ZT9Cfuw5658C62tg_XNglf30YlyGEd0b-ZpQBY43wIMP-PhvU39y-WOj_APhC6BI</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Ram, Jagat</creator><creator>Singh, Rishiraj</creator><creator>Gupta, Rohit</creator><creator>Bhutani, Garvit</creator><creator>Gupta, Parul Chawla</creator><creator>Sukhija, Jaspreet</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism</title><author>Ram, Jagat ; Singh, Rishiraj ; Gupta, Rohit ; Bhutani, Garvit ; Gupta, Parul Chawla ; Sukhija, Jaspreet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4210-1549c061c55a781a7d81663ad0e23a2bb54fd7236d16a130e4ee31b52df5ba523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>astigmatism</topic><topic>Astigmatism - complications</topic><topic>Cataract - complications</topic><topic>Cataract - diagnosis</topic><topic>cataract surgery</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Lenses, Intraocular</topic><topic>Male</topic><topic>Ophthalmology</topic><topic>paediatric cataract</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Refraction, Ocular - physiology</topic><topic>toric intraocular lens</topic><topic>Treatment Outcome</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ram, Jagat</creatorcontrib><creatorcontrib>Singh, Rishiraj</creatorcontrib><creatorcontrib>Gupta, Rohit</creatorcontrib><creatorcontrib>Bhutani, Garvit</creatorcontrib><creatorcontrib>Gupta, Parul Chawla</creatorcontrib><creatorcontrib>Sukhija, Jaspreet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ram, Jagat</au><au>Singh, Rishiraj</au><au>Gupta, Rohit</au><au>Bhutani, Garvit</au><au>Gupta, Parul Chawla</au><au>Sukhija, Jaspreet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2017-03</date><risdate>2017</risdate><volume>95</volume><issue>2</issue><spage>e95</spage><epage>e100</epage><pages>e95-e100</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
To evaluate the effect of toric intraocular lens (IOL) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism.
Methods
We included children between the age group of 8–14 years who were randomized into group I (toric) and group II (non‐toric), in which toric and spherical IOLs were implanted, respectively, after phacoaspiration. Primary outcome measure was comparison of preoperative keratometric and postoperative refractive cylinder. Secondary outcome measure was comparison of pre‐ and postoperative visual outcome.
Results
This study included 21 eyes of 17 children with developmental cataract. The mean spherical power of the toric IOLs implanted in the group I was 22.42 ± 4.84 D (range 12.50–29.00 D) and the mean cylindrical power of toric IOL was 3.37 ± 1.43 D (range 1.50–6.00D). The mean spherical power implanted in non‐toric (group II) was 20.70 ± 7.09 D (range 10–31D). Mean preoperative keratometric cylinder in group I was 2.99 ± 0.96 D (range 1.85–5.12 D) and in group II it was 3.35 ± 0.63 D (range 2.03D–4.33 D) (p = 0.31) while the mean refractive cylinder at one year postoperatively in group I was 0.50 ± 0.39 D (range 0.00–1.00 D) and in group II it was 2.05 ± 0.39 D (range 1.25D–2.50 D; p = 0.006). Twelve months postoperatively, group I had a mean spherical equivalent (SE) 0.41 ± 0.26 D (range 0.00–0.88 D) and group II had 1.8 ± 1.03 D (range 0.63–4.00 D) (p = 0.002). Uncorrected distance visual acuity (UDVA) improved from 0.94 log MAR ± 0.51 (range 0.60–2.00) to 0.43 log MAR ± 0.33 (range 0.00–1.00) in the group I at the end of 1 year and in group II, it improved from 1.52 log MAR ± 1.12 to 0.75 log MAR ± 0.70 (range 0.00–2.00) at the end of 1 year. Corrected distant visual acuity (CDVA) improved in group I from 0.72 log MAR ± 0.17 (range 0.48–1.00) to 0.19 log MAR ± 0.26 (range 0.00‐ 0.78) at the end of one year while in group II, it improved from 1.33 ± 1.08 (range 0.18–3.00) to 0.49 log MAR ± 0.80 (range 0.00–2.00) at the end of 1 year.
Conclusions
Toric IOL implantation in children significantly reduces postoperative astigmatism and thereby improves visual outcome.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27573881</pmid><doi>10.1111/aos.13220</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Journals; Wiley Free Content |
| subjects | Adolescent astigmatism Astigmatism - complications Cataract - complications Cataract - diagnosis cataract surgery Child Female Follow-Up Studies Humans Lenses, Intraocular Male Ophthalmology paediatric cataract Prospective Studies Prosthesis Design Refraction, Ocular - physiology toric intraocular lens Treatment Outcome Visual Acuity - physiology |
| title | Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism |
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